Provider Demographics
NPI:1609858661
Name:STIEBER, VOLKER WILHELM (MD)
Entity Type:Individual
Prefix:
First Name:VOLKER
Middle Name:WILHELM
Last Name:STIEBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 TAMWORTH DR
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-9535
Mailing Address - Country:US
Mailing Address - Phone:336-577-5257
Mailing Address - Fax:
Practice Address - Street 1:3333 SILAS CREEK PKWY
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3013
Practice Address - Country:US
Practice Address - Phone:336-718-5095
Practice Address - Fax:336-718-9895
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2000006302085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5854229Medicaid
NC89126MJMedicaid
VA5854229Medicaid
NC89126MJMedicaid